What are Corporate Integrity Agreements negotiated between?

Corporate Integrity Agreements (CIAs) are negotiated specifically between the Office of Inspector General (OIG) and healthcare entities. These agreements are a crucial part of the healthcare compliance framework, particularly for organizations that have faced allegations of fraud or have been involved in investigations related to healthcare program abuses.

The OIG uses CIAs as a tool to promote compliance and accountability within healthcare organizations. Through a CIA, the OIG sets forth specific compliance obligations that the healthcare entity must adhere to over a period of time, which often includes implementing comprehensive compliance programs, retaining an independent monitor, and regularly reporting on compliance activities. By entering into a CIA, the organization demonstrates its commitment to comply with applicable regulations and to foster a culture of compliance, ultimately aiming to prevent future misconduct.

The other options do not accurately reflect the nature of CIAs. For example, although the Department of Justice (DOJ) may work with providers, the agreements in question are not formed with them. State governments may engage with healthcare facilities on various issues, but that is separate from the specific context of corporate integrity agreements established with the OIG. Internal compliance officers, while critical to the implementation and oversight of compliance programs, do not negotiate CIAs. Therefore, the OIG's role in